Dr. Prithipal S. Sethi, MD

  • Sacramento, CA
  • Urologist
NPI1174710578PAC ID4587649686
Medicare services, 2024
147,913
Medicare patients, 2024
923
Part D claims, 2024
1,092
MIPS score, 2024
96
Hospital affiliations
1
Practice address
8715 Center Pkwy, Sacramento, CA 95823
Practice phone
Call (916) 245-8888
Professional email
Get professional email
Personal email
Get personal email
Mobile number
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Social profiles

Primary practice

Prithipal S. Sethi M.d., Inc.

Medical specialty practice · Sacramento, California

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Dr. Prithipal S. Sethi is a urologist in Sacramento, California

Dr. Sethi practices at Prithipal S. Sethi M.d., Inc. in Sacramento, California.

Dr. Sethi's NPI, 1174710578, was assigned on September 29, 2007. Dr. Sethi graduated from Saint Louis University School Of Medicine in 1999. Dr. Sethi's California license number on file is A86412.

NPI and contact details
Medicare PAC ID
4587649686
NPI enumeration date
September 29, 2007
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(916) 245-8888
Professional email
Get email
Personal email
Get email
Mobile number
Get number
Sex
Male
Estimated age
53
Medical school graduation
1999

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Prithipal S. Sethi practices at Prithipal S. Sethi M.d., Inc. in Sacramento, California

Dr. Sethi's primary practice is Prithipal S. Sethi M.d., Inc., at 8715 Center Pkwy, Sacramento, CA 95823. The practice phone is (916) 245-8888.

  • Prithipal S. Sethi M.d., Inc.
    8715 Center Pkwy, Sacramento, CA 95823Phone(916) 245-8888

Source: Dmand AI Affiliation Data

Dr. Prithipal S. Sethi is affiliated with 2 sites of care and 1 medical group

Dr. Sethi's primary practice is Prithipal S. Sethi M.d., Inc. in Sacramento, California. Dr. Sethi is also affiliated with Dignity Health - Methodist Hospital of Sacramento. The medical group on file is Golden State Urology.

Source: Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. Prithipal S. Sethi's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Sethi practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Prithipal S. Sethi M.d., Inc.Available with a free account
+1 more affiliated siteAvailable with a free account

Source: Dmand AI Technology Install Data

For health IT teams

See the EHR and IT leaders at every site where Dr. Sethi practices

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Dr. Prithipal S. Sethi is one of 1,395 urologists in California

Urology is Dr. Sethi's primary specialty in the NPI Registry, under taxonomy code 208800000X. Dr. Sethi is board certified in urology by the American Board of Urology. Dmand AI has Dr. Sethi's licenses on file in 3 states: California, Wisconsin and New Mexico.

Specialties and state licenses

  • Urology, CaliforniaPrimaryLicense A86412 · 2004 to 2025 · taxonomy 208800000X
  • Wisconsin license2001 to 2007
  • New Mexico license2005

Clinical focus

Dmand AI lists bladder disease, enlarged prostate, erectile dysfunction, kidney cysts, kidney stone disease, prostate cancer, prostate inflammation or infection and testicular dysfunction among the conditions Dr. Sethi treats.

Urologists near Dr. Sethi

Counts of urologists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Prithipal S. Sethi billed Medicare for 147,913 services in 2024

CMS data shows 147,913 Medicare services from Dr. Sethi across 35 procedure codes in 2024, for 923 Medicare patients. Medicare paid $1,329,593 for them. Every service was in an office.

Medicare services, 2024147,913
Medicare patients923
Paid by Medicare$1.3M
Procedure codes35

Dr. Sethi's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Drugs given in the office
2023: 96,9372024: 139,81944%
Office and hospital visits
2023: 2,9832024: 3,64322%
Surgery
2023: 2,3312024: 2,70216%
Other services
2023: 02024: 1,437
Tests and treatments
2023: 3622024: 25131%
Imaging
2023: 452024: 6136%
Lab and pathology
2023: 6052024: 0100%

Dr. Sethi compared with the California median for urologists, 2024

  • Dr. Sethi
  • California median
Medicare services
147,913vs 1,050140.9 times
Medicare patients
923vs 3462.7 times
Part D claims
1,003vs 64256% above

Medians across 1,310 urologists in California with Dmand AI profiles that report each measure.

Dr. Sethi's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Sethi

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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Sethi and other urologists in California.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Prithipal S. Sethi treated 923 Medicare patients in 2024, average age 74

CMS counts 923 Medicare patients who saw Dr. Sethi in 2024. The largest group is 65 to 74, with 424 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 54% are also on Medicaid. Their average risk score is 1.50, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Sethi's median patient age at 68, with 18% women.

Medicare patients, 2024923
Average age74
Average risk score1.50
Also on Medicaid54%

Dr. Sethi's Medicare patients by age, 2024

Dr. Sethi's Medicare patients by sex, 2024

  • Women18820%
  • Men73580%

Chronic conditions among Dr. Sethi's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis39%
  4. Diabetes39%
  5. Chronic kidney disease30%
  6. Cancer27%
  7. Ischemic heart disease26%
  8. Mood disorders19%

Share of Medicare patients with each condition. A patient can have several.

Dr. Sethi's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 68

Patient panel by sex, all payers

  • Women18%
  • Men81%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Prithipal S. Sethi wrote 1,092 Medicare Part D claims in 2024

In 2024, Dr. Sethi wrote 1,092 Medicare Part D claims for 491 patients. 84% of them were for generic drugs. CMS names the drug for 1,003 of them, across 16 drugs with 11 or more claims each, at $457,144 in total drug cost. In 2023, CMS named 1,221 claims across 15 drugs.

Part D claims, 20241,092
Drugs named by CMS16
Total drug cost$457,144
Part D patients491

Dr. Sethi's Part D claims by kind of drug, 2024

  • Generic921 claims84%
  • Brand-name and other171 claims16%

Dr. Sethi's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Sethi's Part D claims, 2024

  • Antibiotics51%561 of 1,092 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 1,2212024: 1,00318%

Drugs named by CMS: 16 in 2024, 15 in 2023.

See all prescribing by Dr. Sethi

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Prithipal S. Sethi scored 96 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 96 out of 100 for Dr. Sethi for performance year 2024, reported as part of a group. Dr. Sethi accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Sethi's MIPS scores, performance year 2024

  • 96of 100Final score
  • 99.9of 100Quality
  • 81of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 87of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Prostate resection: 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

For MedTech and pharma teams

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Dr. Prithipal S. Sethi received $120,537 in industry payments from 2016 to 2025

CMS Open Payments shows 693 general payments to Dr. Sethi from 67 drug and device companies from 2016 to 2025. Consulting fees make up the largest share, 37% of the total. NeoTract Inc. paid the most, $45,221. It also lists 1 research payment totaling $10,000 in 2025.

General payments to Dr. Sethi by program year, 2016 to 2025

General payments to Dr. Sethi by kind, 2016 to 2025

$120.5Kin total
  • Consulting fees$43,42437%
  • Speaker and faculty fees$28,55024%
  • Food and beverage$21,31018%
  • Debt forgiveness$18,96616%
  • Other$6,6686%

Companies that paid Dr. Sethi the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Sethi

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Prithipal S. Sethi has 1 award and honors on record

Dmand AI lists 1 award for Dr. Sethi, most recently CMS Stage 1 EHR in 2013.

Awards and honors for Dr. Sethi

  1. 2013
    • CMS Stage 1 EHR

Source: Dmand AI Professional Profile Data

Dr. Prithipal S. Sethi graduated from Saint Louis University School Of Medicine

Dr. Sethi graduated from Saint Louis University School Of Medicine in 1999.

  1. Medical schoolSaint Louis University School Of Medicine
  2. Board certified in urologyAmerican Board of Urology

Source: Dmand AI Professional Profile Data

Dr. Prithipal S. Sethi accepts plans from 15 insurance carriers

Dr. Sethi is in network with 15 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 9. Check the plan with the practice before a visit.

  • Aetna
  • Elevance
  • Blue Cross Blue Shield of Michigan
  • United Healthcare
  • HCSC
  • Blue Cross Blue Shield of Massachusetts
  • Regence Health Plans
  • Alliant Health Plans
  • +7 more carriersWith a free account

Plan types Dr. Sethi accepts, by number of carriers

  1. Medicare9
  2. PPO9
  3. HMO6
  4. POS5
  5. EPO4

Source: Dmand AI Insurance Network Data

Sources for Dr. Prithipal S. Sethi's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Awards and committee rolesDmand AI Professional Profile Data
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Prithipal S. Sethi

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Prithipal S. Sethi's NPI number?

Dr. Prithipal S. Sethi's NPI number is 1174710578. It was assigned on September 29, 2007, and it is active in the NPI Registry.

What kind of doctor is Dr. Prithipal S. Sethi?

Dr. Prithipal S. Sethi is a urologist in Sacramento, California. The primary specialty in the NPI Registry is Urology Physician (taxonomy code 208800000X).

Where does Dr. Prithipal S. Sethi practice?

Dr. Sethi practices at 8715 Center Pkwy, Sacramento, CA 95823. Dr. Sethi's primary practice is Prithipal S. Sethi M.d., Inc. in Sacramento, California.

What is Dr. Prithipal S. Sethi's office phone number?

The practice phone on file for Dr. Sethi is (916) 245-8888.

What is Dr. Prithipal S. Sethi's medical license number?

Dr. Sethi's California license number on file is A86412, one of the licenses on file in 3 states.

Which states has Dr. Prithipal S. Sethi been licensed in?

Dmand AI has state licenses on file for Dr. Sethi in California (2004 to 2025), Wisconsin (2001 to 2007) and New Mexico (2005).

Which hospitals is Dr. Prithipal S. Sethi affiliated with?

Dr. Sethi is affiliated with Dignity Health - Methodist Hospital of Sacramento.

What medical group is Dr. Prithipal S. Sethi part of?

Dr. Sethi is linked to Golden State Urology.

Does Dr. Prithipal S. Sethi accept Medicare?

Yes. CMS data shows Dr. Sethi billed Medicare for 147,913 services in 2024, and Dr. Sethi accepts Medicare assignment.

What is Dr. Prithipal S. Sethi's MIPS score?

Dr. Sethi's MIPS final score for performance year 2024 is 96 out of 100, reported as part of a group.

Show 8 more questionsShow fewer questions

How many Medicare patients does Dr. Prithipal S. Sethi see?

CMS counts 923 Medicare patients who saw Dr. Sethi in 2024, with an average age of 74.

Is Dr. Prithipal S. Sethi board certified?

Yes. Dr. Sethi is board certified in urology by the American Board of Urology.

What services does Dr. Prithipal S. Sethi bill to Medicare?

In 2024, Dr. Sethi's most billed Medicare services were injected or infused drug (J1071), injected or infused drug (J0585) and injected or infused drug (J0897).

Where did Dr. Prithipal S. Sethi go to medical school?

Dr. Sethi graduated from Saint Louis University School Of Medicine in 1999.

What drugs does Dr. Prithipal S. Sethi prescribe most?

In 2024 Medicare Part D data, Dr. Sethi's most prescribed drugs by claims were Cephalexin, Tamsulosin HCl and Ciprofloxacin HCl.

Has Dr. Prithipal S. Sethi received payments from drug or device companies?

CMS Open Payments shows $120,537 in general payments to Dr. Sethi from 67 companies from 2016 to 2025. The largest total came from NeoTract Inc.

How long has Dr. Prithipal S. Sethi been practicing?

Dr. Sethi graduated from medical school in 1999, 27 years ago.

What insurance does Dr. Prithipal S. Sethi accept?

Dr. Sethi is in network with 15 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 9. Check the plan with the practice before a visit.

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